SNG - BARLITE SAN SABA DIALYSIS CENTERS LP
NPI: 1760700298
· SAN ANTONIO, TX 78224
· 261QE0700X
$102K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
5,380 |
$50K |
| 2022 |
2,015 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
3,045 |
344 |
$102K |
| A4657 |
Syringe w/wo needle |
311 |
309 |
$0.00 |
| 83735 |
|
26 |
26 |
$0.00 |
| 87340 |
|
107 |
87 |
$0.00 |
| 82040 |
|
106 |
86 |
$0.00 |
| J2501 |
Paricalcitol |
1,894 |
181 |
$0.00 |
| 84132 |
|
107 |
87 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
249 |
249 |
$0.00 |
| 82728 |
|
107 |
87 |
$0.00 |
| J1756 |
Iron sucrose injection |
527 |
153 |
$0.00 |
| 85041 |
|
155 |
155 |
$0.00 |
| J0887 |
Epoetin beta esrd use |
439 |
252 |
$0.00 |
| 84466 |
|
107 |
87 |
$0.00 |
| 84155 |
|
108 |
88 |
$0.00 |
| 83540 |
|
107 |
87 |
$0.00 |